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淋巴结肿

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About 20 percent of untreated cases of cutaneous anthrax will result in death.

邻近的淋巴结会肿起如果不采取及时的治疗措施,皮肤性炭疽热会导致死亡,死亡率为20%。

To the neck and axillary lymph nodes found.

以颈部和腋下淋巴结肿大多见。

Objective To explore the diagnostic value of transbronchial needle aspiration in the mediastinal lymphadenopathy and lung tumors.Methods TBNA and brushing biopsy were performed in 67 patients with mediastinal lymphadenopathy or with extrabronchial tumors,then the TBNA ang brushing biopsy were compared with the traditional ring clamp biopsy.

目的 探讨经气管镜行纵隔淋巴结及肺部肿瘤针吸活检联合刷检的诊断作用方法对经CT检查的67例纵隔淋巴结肿和叶、段支气管腔外占位的患者通过经气管镜行针吸活检和刷检并与传统的常规钳取活检对照。

Results:(1)PCNA expression of tumors with diamenter over 3 cm was significantly higher than those 3 cm or less 3 cm;and higher expression with deep lobulation or spiculate protuberance,necrosis or cavity and mediastinal lymph node enlargement than those without.

结果:(1)CT显示瘤体最大直径>3 cm者,深分叶征、棘状突起、坏死和空洞及纵隔淋巴结肿大者与PCNA阳性表达面积升高有关。

Among them, males(39 cases), female (17 cases). Results:The primary lesions of pulmonary tuberculosis(56 cases), tuberculous cavity(38 cases), caseous pueumonia(40 cases), tuberculous pleurity(20 cases), bronchi , hilar and mediastimal enlarged lymph nodes(17 cases), miliary tuberculosis (5 cases).

结果:肺内原发病灶56例,结核性空洞38例,干酪性肺炎40例,结核性胸膜炎20例,支气管旁、肺门及纵隔淋巴结肿 17例,粟粒性肺结核5例。

Debris necrosis of lymph node is not the specific changes of KD. In the tuberculosis of lymph node,① debris necrosis is obvious, but it tends to be caseous nercrosis;② histiocytes, macrophages and foam cells are hyperplasia in the necrotic area or lymph sinus, moreover, epithelioid cells can be found and they tend to be form granuloma;③ numbers of neutrophils infiltrate in the necrotic area;④ the etiologic assay of acid fast bacterium tuberculosis bacterium is positive;⑤ typical clinical manifestation is insufficient.

淋巴结碎屑性坏死并非KD特有病变,诊断KD需先除外有明显碎屑性坏死的淋巴结结核病,后者主要表现:①碎屑性坏死虽明显,但趋于干酪样坏死;②坏死区内或同时在淋巴窦内,组织细胞、巨噬细胞和泡沫细胞增生,并演变为上皮样细胞和趋于肉芽肿形成;③坏死灶内、外可有数量不等的中性粒细胞浸润;④抗酸杆菌/结核杆菌病原学检测阳性;⑤缺乏KD的典型临床过程。

Pulmonary cavity in AIDS is usually located in lower lung lobes,is 2~4cm in length,has thickened wall,smooth inner wall,rough outer wall,halo sign,and hila and/or mediastinal lymph node enlargement.CT morphology have prompted role for the diagnosis of AIDS,but correct diagnosis should combined with clinical date.

2艾滋病相关性肺空洞病变多位于下肺,病灶长径多为2~4cm,空洞壁厚,内壁光整,外壁毛糙,易出现晕征,淋巴结肿大多见,CT形态学对艾滋病的诊断有提示作用,确诊需结合临床。

Imaging appearances of AIDS complicated with pulmoanry tuberculosis coexisted with multiple foci of infection and polymorphism that distributed in multiple lobus. Most of AIDS patients were without typical tuberculous proliferative foci and lyphadenectasis, possibly to be associated with decreasing extent of immune function and the progress of disease at various stages in the young patients observed.

AIDS合并肺结核的胸部影像学特征多表现为多性质的病灶共存,多形态、多叶段分布,以两下肺明显的渗出性、多形态病灶;纤维化、钙化、肿块样阴影少见,无典型的结核增殖灶、肺门淋巴结肿、胸水产生与有关文献报道有异,可能与本组患者为年青人及免疫下降程度和病程发展不同阶段等因素有关。

D: The glands behind her ears and head are swollen.

她的耳後淋巴结和枕部淋巴结都肿了。

D: The glands behind her ears and head are swollen.

她的耳后淋巴结和枕部淋巴结都肿了。

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